Jackson, Iris

Jackson, Iris is an sole proprietor health care provider with primary practice located at 7790 Canyon Diablo Rd , Las Vegas NV 89179-2068. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Jackson, Iris can be contacted via phone (702) 400-6064.

Contact Information

Primary practice address
7790 Canyon Diablo Rd Las Vegas NV 89179-2068
Phone: (702) 400-6064
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1497225601
LBN Legal business name Jackson, Iris
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2018
Last updated Apr 3rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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